Mordecai Jeremiah Stolk, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD13046 Issued in RI

Practice address

318 Waterman Ave
East Providence, RI 02914-3525

Phone

(401) 438-5950

Fax

(401) 435-6700

NPI assigned

Jun 29, 2007

Last updated

Oct 29, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in RI, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nephrology

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nephrology Associates IncGroup PAC ID 8426061185, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dialysis Center of Tiverton Dialysis facility, Tiverton, RI, CCN 412508
• Fall River Kidney Center LLC Dialysis facility, Fall River, MA, CCN 222516
• Saint Anne's Hospital Hospital, Fall River, MA, CCN 220020
• The Miriam Hospital Hospital, Providence, RI, CCN 410012
• Newport Hospital Hospital, Newport, RI, CCN 410006
• Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
• Sturdy Memorial Hospital Hospital, Attleboro, MA, CCN 220008

Merit-based Incentive Payment System (MIPS)

Final score

99.57 of 100Reported as individual

Quality

100

Promoting interoperability

90

Improvement activities

40

Cost

76.61

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mordecai.stolk.1@25334.direct.athenahealth.com
• Direct secure messaging: mstolk@kent.cernerdirect.carene.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nephrology Associates Inc

  • Nephrology Physician
  • East Providence, RI
  • NPI 1366426801

  MA

  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ara-Tiverton Dialysis LLC

  dba Dialysis Center of Tiverton

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tiverton, RI
  • NPI 1285745570

  Dialysis facility

  Care Compare affiliation Name & address match
• Newport Hospital

  • General Acute Care Hospital
  • Newport, RI
  • NPI 1457346413
  Care Compare affiliation
• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation
• Lifespan of Massachusetts - Fall River Inc

  • General Acute Care Hospital
  • Fall River, MA
  • NPI 1972330165
  Care Compare affiliation
• Southcoast Hospitals Group, Inc

  dba Tobey Hospital

  • General Acute Care Hospital
  • Wareham, MA
  • NPI 1922024835
  Care Compare affiliation
• Sturdy Memorial Hospital Inc

  • General Acute Care Hospital
  • Attleboro, MA
  • NPI 1730106162
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1124225594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 WATERMAN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143525",
            "telephone_number": "401-438-5950",
            "fax_number": "401-435-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 WATERMAN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143525",
            "telephone_number": "401-438-5950",
            "fax_number": "401-435-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLK",
        "first_name": "MORDECAI",
        "middle_name": "JEREMIAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "RI",
            "license": "MD13046",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "241535",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MASS",
            "identifier": "1124225594",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124225594",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI  BLUE CROSS",
            "identifier": "1124225594",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Lynn Steckler, DMD
• Jesse Isaac Steinberg, DC
• Phoebe Stenberg
• Still Waters Psychiatry, LLC (Still Waters Wellness)
• Philip H Stockwell, MD
• Elizabeth Stone, MD
• Kathryn Stone
• John A Stoukides, MD
• David Stowik, P.A
• Toni Stula

• Nephrology Physician in East Providence, RI
• Providers in East Providence, RI by specialty
• Nephrology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.